Who We Are

We’re a family of health centers, supported by a family of Associates.

For over 25 years, Health Choice Network (HCN) has been an employer of choice in South Florida, supporting health centers, patients, and the communities they serve. We are one of the first successful health center-controlled networks and our success is due largely to our Associates and their commitment to advancing our mission to improve the health status of our communities.

Do you want to join an organization that believes in empowering their most precious resource, their Associates? Are you innovative and results driven? HCN is looking for talented, qualified individuals to join our rapidly expanding, first-class team.

What We Are Looking For

Seeking a detail-oriented Billing and Collections Specialist with a strong grasp of Medicare, Medicaid, and commercial payer processes. Utilize critical thinking to ensure accurate billing, review medical records for claim validity, and proactively address denials. Stay updated on billing regulations, report trends, and adapt to dynamic department needs for efficient claims processing.

Position Expectations

• Communicates daily with internal and external customers via phone calls and written communications.
• Documents all communication and transactions in patient accounts accurately and completely
• Assists in patient collections and reconciling deposit.
• Is fully versed and able to cover and/or train in all RCM functions when necessary in regards to, answering phones, payment posting & reconciliation, customer service and billing within organization.
• Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
• Prepares and submits clean claims to all insurance companies either electronically or by paper.
• Researches and resolves claim holds/rejections and denials. Verifies patient benefits, eligibility and coverage as needed.
• Follow-up with insurance carriers on underpaid and unpaid claims
• Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB04/1500 claim form information and modifiers, and provider information as needed.
• Additional duties and responsibilities assigned.

Skills and Abilities for Sucess

• Customer service driven.
• Understanding of medical terminology and insurance guidelines.
• Excellent organization and time management skills along with excellent oral and written communication skills.
• Strong team player.
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.
• Must be able to manage multiple deadlines.
• Additional skills required for success.

Education, Experience and Certifications

• High School Diploma/GED
• Minimum of 2-3 years related experience in a medical billing setting and/or experience with an Electronic Medical Record a plus.
• Minimum of 2-3 years related experience and training with insurance billing/collections and denial management (Desired)
• EPIC Certification (Desired)

Health Choice Network Perks and Benefits

• Flexible work environment.
• Medical, Dental, Vision and Life Insurance plans with employer contributions up to 100% on some of the provider plans, including dependents. HCN contributes $125.00 a month towards eligible associates Health Savings Account.
• 403B Retirement Plan that contributes 5% on an annual basis after a year of service for eligible associates.
• Tuition Reimbursement and Professional Development programs for eligible associates.
• Generous Paid Time Off, plus an additional 8 paid Federal Holidays per year.
• Technology Reimbursement Program for eligible associates.
• Pet Insurance.
• LinkedIn Learning provided for all associates.
• HCN Cares Wellness Program.

Health Choice Network is an equal opportunity/affirmative action employer and complies with all federal and state laws, regulations and executive orders regarding affirmative action requirements in all programs.

HCN is a drug-free workplace.